Organization
GERIMED S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDOLMAJID T REZVAN M.D. (M.D.)
(773) 235-0800
Entity
Organization
Contact information
Practice address
1921 N HARLEM AVE, SUITE 106, CHICAGO, IL 60707-3740
(773) 235-0800
(847) 657-1622
Mailing address
1921 N HARLEM AVE, SUITE 106, CHICAGO, IL 60707-3740
(773) 235-0800
(847) 657-1622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L04653
PIN
IL
Enumeration date
10/23/2006
Last updated
08/22/2020
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